Individual
DR. JOEL L MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
3939 HOLLYWOOD BLVD, STE 3A, HOLLYWOOD, FL 33021-6749
(954) 961-7700
(954) 961-0092
Mailing address
3939 HOLLYWOOD BLVD, STE 3A, HOLLYWOOD, FL 33021-6749
(954) 961-7700
(954) 961-0092
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0016209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0065443
GHI
FL
05
—
049413500
—
FL
01
—
06844
B/S
FL
01
—
1902072
UNITED
FL
01
—
203294
AVMED
FL
01
—
341998433
RR MEDICARE
FL
01
—
4068841
AETNA
FL
Enumeration date
06/23/2005
Last updated
12/22/2021
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